Chapter 2
Trends in Facility Characteristics

Number of Facilities
Facility Operation
Primary Focus of Facility
Type of care offered
Facilities with Opioid Treatment Programs
Managed Care

This chapter presents trends in facility characteristics for 2003 to 2007.

Number of Facilities

Table 2.1. The total number of substance abuse treatment facilities remained relatively constant between 2003 and 2007, although there was considerable turnover from year to year in the individual facilities responding to the survey. Every year, between 86 and 90 percent of the facilities responding to a given survey had also responded to the previous year’s survey. About 10 to 15 percent of the facilities had closed or were no longer providing substance abuse treatment, but were replaced by similar numbers of new facilities.

The total number of facilities fell from 13,771 in 2006 to 13,648 in 2007, difference of only 123 facilities (1 percent). Of the 13,638 2007 facilities, 12,226 (90 percent) responded to both the 2006 and 2007 surveys and 1,422 (10 percent) were new to the 2007 survey. Of the 13,771 2006 facilities, 1,545 (11 percent) had closed or were no longer providing substance abuse treatment in 2007. Despite the year-to-year changes in the facilities reporting, several core structural characteristics of the substance abuse treatment system remained stable from 2003 to 2007.

Facility Operation

Table 2.2 and Figure 1. Facilities are described in terms of operation, that is, the type of entity responsible for the operation of the facility: private non-profit; private for profit; or government—local, county, or community; State; Federal; or tribal.

The operational structure of the substance abuse treatment system changed slightly from 2003 to 2007. Private non-profit organizations operated 61 percent of all facilities in 2003 and decreased slightly but steadily to 58 percent in 2007. Private for-profit organizations operated 25 percent of all facilities in 2003, increasing slightly but steadily to 29 percent in 2007. Government-operated facilities maintained stable proportions of both facilities and clients between 2003 and 2007. Local governments operated 6 to 7 percent of all facilities; State governments, 3 percent; the Federal government, 2 percent; and tribal governments, 1 percent.

Figure 1
Facility Operation: 2003-2007

Figure 1: Line Chart comparing Facility Operation from 2003 to 2007. Link to accessible data table below.

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, National Survey
of Substance Abuse Treatment Services (N-SSATS), 2003-2007.

Go to figure data table

Primary Focus of Facility

Table 2.2 and Figure 2. Facilities are also described according to the primary focus of activity of the facility, i.e., the services the facility primarily provides: substance abuse treatment services; mental health services; a mix of mental health and substance abuse treatment services; general health care; or other.

The primary focus of activity of facilities changed very little from 2003 to 2007. Facilities whose primary focus was the provision of substance abuse treatment services made up 61 to 62 percent of all facilities between 2003 and 2007. Facilities providing a mix of mental health and substance abuse treatment services increased slightly as a percentage of all facilities, from 26 percent in 2003 and 2004 to 29 percent in 2007. Facilities whose primary focus was the provision of mental health services made up 7 to 8 percent of all facilities between 2003 and 2007, and facilities whose primary focus of activity was general health care made up only 1 to 2 percent of all facilities.

Figure 2
Primary Focus of Facility: 2003-2007

Figure 2: Line chart comparing Primary Focus of Facility from 2003 to 2007. Link to accessible data table below.

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, National Survey
of Substance Abuse Treatment Services (N-SSATS), 2003-2007.

Go to figure data table

Type of Care Offered

Table 2.3 and Figure 3. The proportion of facilities offering the major types of care—outpatient, residential (non-hospital), and hospital inpatient—were stable between 2003 and 2007. Outpatient treatment was provided by 80 to 81 percent of all facilities from 2003 to 2007. Residential (non-hospital) treatment was provided by 27 to 28 percent of all facilities. Hospital inpatient treatment was provided by 7 to 8 percent of all facilities.*

* Percentages sum to more than 100 percent because a facility could offer more than one type of care.

Facilities with Opioid Treatment Programs

Table 2.3 and Figure 3. Opioid Treatment Programs (OTPs), certified by the Substance Abuse and Mental Health Services Administration, provide medication-assisted therapy with methadone and buprenorphine, the only two opioid medications approved for the treatment of opioid addiction. OTPs were provided by 8 to 9 percent of all facilities between 2003 and 2007.

 

Figure 3
Type of Care Offered: 2003-2007

Figure 3: Line chart comparing Type of Care Offered from 2003 to 2007. Link to accessible data table below.

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, National Survey
of Substance Abuse Treatment Services (N-SSATS), 2003-2007.

Go to figure data table

Managed Care

Table 2.4 and Figure 4. In general, the term “managed care” refers to the prepaid health care sector where care is provided under a fixed budget within which costs are “managed.”

Agreements or contracts with managed care organizations were reported by 51 percent of all facilities in 2003; this proportion fell to 46 percent in 2007. In 2003, more than half of both private non-profit and private for-profit facilities had managed care agreements or contracts (54 percent and 53 percent, respectively). These proportions fell steadily to 49 percent and 48 percent, respectively, in 2007.

In local, State, and Federal government-operated facilities, the proportions with managed care agreements or contracts fell from 2003 to 2005, but by 2007 had rebounded to levels near those seen in 2003. Facilities operated by tribal governments displayed a different pattern; the proportion with managed care agreements or contracts increased from 21 percent in 2003 to 30 percent in 2006, but fell to 23 percent in 2007.

 

Figure 4
Facilities with Managed Care Agreements or Contracts, by Facility Operation: 2003-2007

Figure 4: Line chart comparing Facilities with Managed Care Agreements or Contracts, by Facility Operation from 2003 to 2007. Link to accessible data table below.

SOURCE: Office of Applied Studies, Substance Abuse and Mental Health Services Administration, National Survey
of Substance Abuse Treatment Services (N-SSATS), 2003-2007.

 

Go to figure data table

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